pngtiger

Looks like a prolapsed thrombosed hemorrhoid

This for Mobile, including the updated Bayway, both 3 lanes each way, for $3.7 billion.

Looks like cable stays are “in” right now

This is alachua county, very liberal county, home to Gainesville.

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Hospital: You owe us $1 million for a Tylenol. Insurance: We only pay $500,000 for Tylenol. Hospital: O.k., you owe us $500,000 for Tylenol. Insurance to insurees: Rates have to go up because having great health care is expensive!

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If you read the rest of my post, insurance doesn’t pay for the Tylenol directly. The hospital gets a set payment for your treatment based on your diagnosis.

And the insurers are the ones that set what they pay to hospitals/physicians. And guess how insurers figure out how much to pay? CMS.

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Now with health insurance it is an elaborate Ponzi scheme to charge whatever the frick they dream up because insurance will pay it

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That’s not how it works. Insurance (CMS) sets the rates of what they will pay. Hospitals can charge $1 million for a Tylenol, doesn’t mean that’s what insurance will pay.

Insurers pay hospitals based off DRGs, or diagnosis related group. So when you ago to a hospital, your diagnosis(es) get this code. The amount a hospital is paid is based on that code. Then there are 2 ways it is allocated. One way is per diem, a certain amount per day of admission. The other is a lump sum for that code. If you need a CT scan, that’s tied to a DRG. If you need antibiotics, that’s tied to a DRG.

Physician fees are similar, but are based on wRVUs, work relative value units. Again, CMS assigns how many RVUs are attached to the CPT code (current procedure terminology). Same as above, a physician can charge $1 million to take out your appendix, but insurers will only allow $1000 to be paid.

For the person that said his hospital bill was negotiated down to $34k, that’s what the insurer said they would pay based on previously agreed upon contact. Likely $30k of that bill went to cover the OR costs and anesthesia.

For the person that said cut physicians salaries to cut costs, 8% of total medical spending is on physician fees, as evidence by the surgeon receiving $2000 of a total $34k bill, or roughly 6% of the hospital bill.

Most of the rise in cost is due to red tape. The amount of administrators has skyrocketed, most of these positions are to handle the insane amount of paperwork and red tape just to keep the doors open. With these increased government burdens, and therefore costs, together with decreasing reimbursement, hospitals in rural areas are shutting down.

As has been mentioned, nothing is as good as a colonoscopy. The blood and stool test detect cancer. A CT of the colon detects masses. The purpose of the colonoscopy is to detect and remove BEFORE it becomes cancerous or large enough to see on CT/barium enema.

For everyone, the age to start has been changed from 50 to 45, and I expect that recommendation to drop to 40 soon. If there is a history of colon cancer in the family, age of colonoscopy should be 10 years before that person was diagnosed.

About the difference in timing for next colonoscopy after a polyp is removed: it depends on if the polyp was tubular, villous, or tubulovilllous, and also if it was sessile (flat, sometimes can’t get the whole thing) or pedunculated (has a stalk).

Lastly, that “article” you posted is quackery.

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Say a doctor would charge a patient $100 for a procedure and the insurer will only cover 10%. Should the doctor provide the care at $100, or should the doctor charge $1000 and get his $100 paid at 10% from the insurer?

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Yeah, that’s not how it works. Medicare sets how much they pay for each CPT code. Every other insurer pays a percentage of that. Many private insurers will pay a little more, Medicaid pays a lot less.

As an example to illustrate how it works: the price they set for taking out an appendix is $1000. I can charge $1000, I can charge $1,000,000. What I get paid is a portion of that $1000, no matter what I charge.

Where I land on how big that portion is, is totally dependent on my negotiating power to get a better contract with the insurer. As a solo practitioner, there’s no negotiating, you take what they say or you don’t take that insurance. Which is partly why many doctors are becoming hospital employed.

Another reason they are becoming hospital employed is because of the amount of overhead to just chase insurers for denials, and the amount of government regulations/paperwork that make it impossible to just treat patients.

Without commenting on the blood being thick or thin…I don’t see any laceration much less a deep laceration to the head. If the lac is in the hairline, it bleeds a lot and her hair would be full of blood and matted, like others of said.

There is very little swelling to the head/face, which would only happen if it’s right after the incident, which it is not.

Her makeup is too perfect, her lipstick is not either messed up or covered in blood. Neither Her shirt nor necklace are covered in blood despite the “bloodline” going all the way to the chest. There should be blood everywhere, so she must have changed and primped before going to the hospital.

It should be very easy to produce an X-ray showing a fractured femur, and those don’t break easy. If she does indeed have a femur fracture, she’s not changing clothes/jewelry and primping before going to the ER. She would be in a lot of pain. And the amount of pain she would have also makes me question this picture, as she would not be calm, or looking like anywhere close to a normal person.

Quals: 16 years taking care of traumas

A third get better
A third stay the same
A third get worse

Was going to say you need to check your numbers on LSU, and they also won all 3. But…the basketball cutoff is 1939, and Lsu won it in 1935.